Individual
KELLY ROSE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1521 JARRET PL, BRONX, NY 10461-2606
(718) 862-8840
Mailing address
206 BROOKSITE DR, SMITHTOWN, NY 11787-4443
(845) 656-4818
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
310107-01
NY
208600000X
Surgery Physician
OT017016
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2016
Last updated
04/23/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us